Vigorous exercise to prevent heart attacks

Gabe Mirkin, M.D.

We know that regular exercise helps to prevent heart attacks and strokes. Researchers at Michigan State recently showed that high-intensity exercise may prevent these diseases more effectively than low intensity exercise (Thrombosis Research, August 2006).

Most heart attacks and strokes occur when plaques lining the arteries break off and pass down the artery to form a clot that completely blocks the flow of blood to the heart or brain. Intense exercise helped prevent clotting by increasing tissue plasminogen activator and plasminogen activator inhibitor-1 far more than low-intensity exercise did. Other studies show that vigorous exercise also more effective in helping people lose weight. However, vigorous exercise can precipitate heart attacks and strokes, so it’s a good idea to get a stress electrocardiogram before you start a new exercise program or increase the intensity of your current regimen. If your doctor agrees, gradually work up to the point where you can increase the intensity of your workouts once or twice a week.

January 15, 2007